A transperineal ultrasound-based scoring system (J-TPUSS) for predicting healing after cryptoglandular fistula surgery in resource-limited settings

Incomplete or premature healing with retained collections after cryptoglandular fistula surgery predisposes to recurrence, making early postoperative assessment and remedial action essential. Magnetic resonance imaging is the standard diagnostic tool but is costly and often inaccessible in low- and middle-income countries. We therefore developed the Jabalpur Transperineal Ultrasonography-based Scoring System to predict postoperative healing. This paper demonstrates its potential.